John Childress Iii (NPI# 1780902841, PAC ID# 0143533695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780902841 |
| PAC ID by PECOS | 0143533695 |
| Professional Enrollment ID | I20160309002766 |
| Full Name | John Childress Iii |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Address |
920 Church St N Concord NC 28025-2927 |
| Phone Number | 7043621945 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587577390 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340130 | CAROLINAS HEALTHCARE SYSTEM UNION |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1025 Morehead Medical Dr, Suite 100, Charlotte, NC 28204-2964 | 7043261945 | CHARLOTTE RADIOLOGY PA |
| 10628 Park Rd, Charlotte, NC 28210-8407 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 10648 Park Rd, Charlotte, NC 28210-8407 | 7043625391 | CHARLOTTE RADIOLOGY PA |
| 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 7049095960 | CHARLOTTE RADIOLOGY PA |
| 8800 N Tryon St, Charlotte, NC 28262-3300 | 7046124955 | CHARLOTTE RADIOLOGY PA |
| 920 Church St N, Concord, NC 28025-2927 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 433 Mcalister Rd, Lincolnton, NC 28092-4147 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 2293 Sugar Hill Rd G, Marion, NC 28752-7787 | 7043625391 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 724 Aubrey Bell Dr, Matthews, NC 28105-5055 | CHARLOTTE RADIOLOGY PA | |
| 600 Hospital Dr, Monroe, NC 28112-6000 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 | 8033279934 | CHARLOTTE RADIOLOGY PA |
| 720 Malcolm Blvd, Valdese, NC 28690-2872 | 8288743160 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 500 Morven Rd, Wadesboro, NC 28170-2745 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 2700 Providence Rd S, Waxhaw, NC 28173-6313 | 7049095960 | CHARLOTTE RADIOLOGY PA |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Bennett | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Dale Russell Shaw | Diagnostic Radiology | Charlotte Radiology Pa | 175 Amendment Ave, Rock Hill, SC 29732-3042 |
| Adrienne C Bean | Diagnostic Radiology | Charlotte Radiology Pa | 1090 Nw Gateway Ct, Suite 202, Concord, NC 28025-2414 |
| Marc Angelo Mancuso | Diagnostic Radiology | Charlotte Radiology Pa | 1802 E Main St, Lincolnton, NC 28092-3915 |
| Brian Adrian Howard | Diagnostic Radiology | Charlotte Radiology Pa | 3816 Latrobe Dr, Charlotte, NC 28211-1167 |
| Gary Joseph Defilipp | Diagnostic Radiology | Charlotte Radiology Pa | 7666 Charlotte Hwy 120, Indian Land, SC 29707-7003 |
| Ole Sami Aassar | Diagnostic Radiology | Charlotte Radiology Pa | 200 Glendale Dr W, Wilson, NC 27893-2772 |
| Pamela Sutton Oravetz | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Michael V. Varricchio Jr. | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Chelsea N Hanne | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Street Address |
920 CHURCH ST N |
| City | CONCORD |
| State | NC |
| Zip | 28025-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian A Sung | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-2927 |
| Patrick Twum-barimah | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-2927 |
| Brian Anderson Dalrymple | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-2927 |
| Pamela Sutton Oravetz | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Tony R Hinson | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-2927 |
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Michael V. Varricchio Jr. | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Vinay M Patel | Gastroenterology | Carolinas Medical Center | 920 Church St N, Concord, NC 28025-2927 |
| Chelsea N Hanne | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Marlee M Bodle | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 920 Church St N, Concord, NC 28025-2927 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brian Mccollough | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CONCORD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John Childress Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.